Get Drug Administration Charge Capture Form 2013-2025

Filling out the Drug Administration Charge Capture Form is a crucial step in accurately documenting medication administration charges. This guide will provide you with detailed, step-by-step instructions on how to complete the form online, ensuring that you capture all necessary information correctly.

Follow the steps to successfully complete the form

1. Click ‘Get Form’ button to obtain the form and access it in your chosen online format.
2. Begin by selecting one of the three columns available based on the facility hierarchy. If the patient received an infusion, start with the 'Medication Infusion' column. If not, check the 'IV Push' column, and if neither applies, move to the 'Hydration' column.
3. Mark all applicable charges in the selected column. Ensure you accurately indicate the type and duration of the services provided, such as the initial infusion, additional hours, or any injections administered.
4. For each procedure, input the quantity (number of hours, pushes, or injections) required in the designated fields. Be diligent to ensure the right codes such as 96365 for initial infusion or 96374 for initial push are used.
5. Review all entries for accuracy before final submission. Double-check your selections against the patient's received treatments to ensure completeness.
6. Once all fields are filled out and verified, proceed to save your changes. You will have the option to download, print, or share the completed form as necessary.

Complete and submit your Drug Administration Charge Capture Form online today for efficient documentation.